Computed tomographic screening for lung cancer: Current practice patterns at leading academic medical centers
A partir de données portant sur 53 452 personnes à haut risque de cancer du poumon incluses dans l'essai américain "National Lung Screening Trial", cette étude estime le taux de surdiagnostic associé à un dépistage par scanner spiralé à faible dose
Following the publication of the National Lung Screening Trial (NLST) results, several organizations have published clinical practice guidelines (CPGs) for lung cancer screening. These guidelines emphasize the clinical aspects of computed tomographic (CT) screening, such as patient selection criteria, with relatively little attention to technical and logistical considerations. We surveyed leading US academic medical centers (AMCs) to determine current screening practices. We hypothesized that there would be greater uniformity in clinical aspects of screening than in technical and logistical elements...
JAMA Internal Medicine , commentaire, 2012